[0001] The present invention relates to the use of the antifungal target dihydroorotate
dehydrogenase (DHODH) in screening methods for DHODH inhibitors. DHODH inhibitors
may be used as antifungal compounds. In particular the compounds find use in the treatment
of systemic or topical fungal infections, e.g. caused by fungi of Aspergillus and
Candida species.
INTRODUCTION
Fungal Pathogens
[0002] Invasive fungal infections are well recognised as diseases of the immunocompromised
host. Over the last twenty years there have been significant rises in the number of
recorded instances of fungal infection (
Groll et al., 1996, J Infect 33, 23-32). In part this is due to increased awareness and improved diagnosis of fungal infection.
However, the primary cause of this increased incidence is the vast rise in the number
of susceptible individuals. This is due to a number of factors including new and aggressive
immunosuppressive therapies, increased survival in intensive care, increased numbers
of transplant procedures and the greater use of antibiotics worldwide.
[0003] In certain patient groups, fungal infection occurs at high frequency; lung transplant
recipients have a frequency of up to 20% colonisation and infection with a fungal
organism and fungal infection in allogenic hoemopoetic stem transplant recipients
is as high as 15% (
Ribaud et al., 1999, Clin Infect Dis. 28:322-30).
[0004] Currently only four classes of antifungal drug are available to treat systemic fungal
infections. These are the polyenes (e.g., amphotericin B), the azoles (e.g., ketoconazole
or itraconazole) the echinocandins (e.g., caspofungin) and flucytosine.
[0005] The polyenes are the oldest class of antifungal agent being first introduced in the
1950s. The exact mode of action remains unclear but polyenes are only effective against
organisms that contain sterols in their outer membranes. It has been proposed that
amphotericin B interacts with membrane sterols to produce pores allowing leakage of
cytoplasmic components and subsequent cell death.
[0006] Azoles function by the inhibition of 14α-demethylase via a cytochrome P450-dependent
mechanism. This leads to a depletion of the membrane sterol ergosterol and the accumulation
of sterol precursors resulting in a plasma membrane with altered fluidity and structure.
[0007] Echinocandins work by inhibiting the cell wall synthesis enzyme β-glucan synthase,
leading to abnormal cell wall formation, osmotic sensitivity and cell lysis.
[0008] Flucytosine is a pyrimidine analogue interfering with cellular pyrimidine metabolism
as well DNA, RNA and protein synthesis. However widespread resistance to flucyotosine
limits its therapeutic use.
[0009] It can be seen that, to date, the currently available antifungal agents act primarily
against only two cellular targets; membrane sterols (polyenes and azoles) and β-glucan
synthase (echinocandins).
[0010] Resistance to both azoles and polyenes has been widely reported leaving only the
recently introduced echinocandins to combat invasive fungal infections. As the use
of echinocandins increases, resistance in fungi will inevitably occur.
[0011] The identification of new classes of antifungal agent with novel modes of action
is therefore required to ensure positive therapeutic outcomes for patients in the
future.
DHODH
[0012] Dihydroorotate dehydrogenase (DHODH; PyrE) is involved in the
de novo synthesis of pyrimidines, catalysing the oxidation of dihydroorotate to orotate.
Two classes of DHODH have been described on the basis of differences in amino acid
sequence; Class II DHODH are found in most fungi (including
A. fumigatus and
C. albicans), animals, plants, gram-negative bacteria and archeabacteria. These use an FMN molecule
as a cofactor, and, in the case of humans and fungi, this is recycled by means of
oxidation via a quinone cofactor from the respiratory chain. The human and fungal
proteins are non-covalently associated with the mitochondrial inner membrane by an
N-terminal trans-membrane domain. The quinone-binding pocket is adjacent to, but distinct
from the catalytic site of the enzyme. Class I enzymes are found in gram-positive
bacteria, trypanosomes,
Saccharomyces cerevisiae, and closely related fungi such as other members of the genus
Saccharomyces.
[0013] A large number of inhibitors of human DHODH have been reported, including redoxal,
brequinar, leflunomide, A771726, and atovaquone. In some cases, crystal structures
for DHODH proteins complexed with inhibitors are available and structures of protein-inhibitor
complexes are also available for rat and
P. falciparum DHODH. The structures show that the inhibitors bind in the quinone pocket and are
therefore assumed to function by preventing the cofactor from being reoxidised.
[0014] The distribution of class II DHODH across fungal species has been studied and, with
the exception of certain
Saccharomyces species, has been found in all fungi examined to date, with the evolutionary tree
of the enzyme paralleling that of the organisms themselves. Thus, DHODH is present
in pathogenic fungi such as
Aspergillus fumigatus, Candida albicans, Candida glabrata, Coccidioides immitis and
Cryptococcus neoformans. In those cases where genomic sequence is not available for particular pathogens,
DHODH has been identified in related organisms with sequenced genomes, thereby indicating
the presence of DHODH in
Blastomyces, Cladosporium and
Scopulariopsis species.
[0015] The inventors have optimised conditions for identifying inhibitors of DHODH suitable
for use as antifungal agents.
[0016] Zameitat et al. (FEBS J. 2006 Jul;273(14):3183-91) discloses the biochemical characterization of recombinant dihydroorotate dehydrogenase
from the opportunistic pathogenic yeast
Candida albicans with reference to coenzyme Qd.
US Patent No. 5,976,848 discloses a method of identifying potential fungicides using dihydroorotate dehydrogenase
inhibition assay with reference to ubiquinone-30 (coenzyme Q6).
Gustafson et al.(Curr Genet. 1996 Jul 31;30(2):159-65) discloses identification of a new antifungal target site through a dual biochemical
and molecular-genetics approach with reference to ubiquinone-30 (coenzyme Q6).
SUMMARY OF THE INVENTION
[0017] The present invention relates to fungal DHODH as a target for antifungal therapy,
in particular to conditions for optimally identifying inhibitors, e.g. small molecules,
as potential antifungal compounds by determining whether a candidate agent is capable
of inhibiting fungal DHODH activity.
[0018] Accordingly the invention provides a method of identifying an antifungal agent which
targets a dihydroorotate dehydrogenase (DHODH) protein of a fungus comprising contacting
a candidate substance with a fungal DHODH protein and determining whether the candidate
substance inhibits the DHODH protein, wherein inhibition indicates that the candidate
substance is an antifungal agent and wherein inhibition of the DHODH protein is measured
by the addition of (a) a quinone selected from ubiquinone 5 (coenzyme Q1) and ubiquinone
10 (coenzyme Q2) and (b) an electron acceptor and detecting the reduction of the electron
acceptor. The DHODH protein is preferably
- (i) a DHODH protein which comprises the sequence shown by SEQ ID NO: 1 or 2; or
- (ii) a protein which has at least 50% identity with (i); or
- (iii) a protein comprising a fragment of (i) or (ii) which fragment has a length of
at least 50 amino acids.
[0019] The method may be carried out under assay conditions of 500 µM dihydroorotate, and/or
50 µM quinone, and/or 100 µM 2,6-dichloroindophenol, and/or at a DHODH enzyme concentration
such that the enzyme activity is in a linear range with respect to time and protein
concentration, and/or at pH 8.0, and/or in 150 mM NaCl, and/or in 50 mM Tris.HCl,
and/or with 1% v/v DMSO, and/or with 8% v/v glycerol, and/or with 0.08% v/v Trition
X-100, and/or incubated at room temperature, and/or incubated for 20 - 40 minutes,
and/or where the assay has a Z' value of ≥ 0.375, and/or where the assay has a %CV
value of < 5% for minus-enzyme or completely-inhibited control.
[0020] The candidate substance is preferably also contacted with a mammalian DHODH which
comprises
- (i) the sequence shown by SEQ ID NO: 11; or
- (ii) a protein which has at least 80% identity with (i); or
- (iii) a protein comprising a fragment of (i) or (ii) which fragment has a length of
at least 50 amino acids. This identifies those substances which show little or no
inhibition of the mammalian enzyme.
DETAILED DESCRIPTION OF THE INVENTION
[0021] As mentioned above the invention relates to use of particular protein sequences (termed
"proteins for use in the invention" herein) which are of, or derived from, fungal
DHODH proteins (including homologues and/or fragments of the fungal DHODH proteins)
to identify antifungal agents. The methods of the invention provide assays to screen
compounds as potential antifungal compounds.
[0022] As used herein, the term DHODH may be defined as an enzyme which is capable of catalysing
the oxidation of dihydroorotate. The DHODHs for use in the invention fall within classification
EC 1.3.5.2 of the enzyme commission.
[0023] As used herein, the term antifungal agent may be defined as an agent that retards,
destroys or prevents the growth of fungi, an agent used to treat fungal infections,
or an agent that selectively eliminates fungal pathogens from a host with minimal
toxicity to the host. The antifungal efficacy of a compound may be measured
in vitro, e.g. with cultures fungi, or
in vivo, e.g. in an infected host.
[0024] A protein for use in the invention (or a fungal DHODH protein) may be defined by
similarity in sequence to another member of the family. As mentioned above this similarity
may be based on percentage identity (for example to the sequences SEQ ID No. 1, 2
or 11).
[0025] The protein for use in the invention may be in isolated form (such as non-cellular
form), for example when used in the method of the invention. Preferably, the isolated
protein comprises a DHODH protein. The protein may comprise native, synthetic or recombinant
protein. The protein may comprise combinations of native, synthetic or recombinant
protein. The proteins for use in the invention may have a sequence which is the same
as, or different from, naturally occurring DHODH proteins.
[0026] It is to be understood that the term "isolated from" may be read as "of" herein.
Therefore references to proteins being "isolated from" a particular organism include
proteins which were prepared by means other than obtaining them from the organism,
such as synthetically or recombinantly.
[0027] Preferably, the protein for use in the invention is isolated from a fungus, more
preferably a filamentous fungus, even more preferably an Ascomycete.
[0028] Preferably, the protein for use in the invention is isolated from an organism independently
selected from the genera
Absidia; Acremonium; Alternaria; Aspergillus; Bipolaris; Blastomyces; Blumeria; Candida;
Cladosporium; Coccidioides; Colletotrichium; Cryptococcus; Curvularia; Encephalitozoon;
Epicoccum; Epidermophyton; Exophiala; Exserohilum; Fonsecaea; Fusarium; Histoplasma;
Leptosphaeria; Microsporum; Mycosphaerella; Neurospora, Paecilomyces; Paracoccidioides;
Penicillium; Phialophora; Phytophthora; Plasmopara; Pneumocystis; Pseudallescheria;
Pyricularia; Pythium; Puccinia; Rhizoctonia; Rhizomucor; Rhizopus; Saccharomyces;
Scedosporium; Scopulariopsis; Sporothrix; Trichophyton; Trichosporon; Ustilago and
Wangiella.
[0029] Preferably, the protein for use in the invention is isolated from an organism selected
from the species
Absidia corymbifera; Acremonium spp.: Alternaria alternata; Aspergillus flavus; Aspergillus
fumigatus; Aspergillus nidulans; Aspergillus niger; Aspergillus parasiticus; Aspergillus
terreus; Bipolaris spp.; Blastomyces dermatitidis; Blumeria graminis; Candida albicans;
Candida glabrata; Candida krusei; Candida parapsilosis; Candida tropicalis; Cladosporium
carrionii; Cladosporium cladosporoides; Cladosporium herbarium; Coccidioides immitis;
Coccidioides posadasii; Curvularia lunata; Colletotrichium trifolii; Cryptococcus
neoformans; Encephalitozoon cuniculi; Epicoccum nigrum; Epidermophytonfloccosum; Exophiala
spp.: Exserohilum rostratum; Fonsecaea pedrosoi; Fusarium graminarium; Fusarium solani;
Fusarium sporotrichoides; Histoplasma capsulatum; Leptosphaeria nodorum; Microsporum
canis; Mycosphaerella graminicola; Paecilomyces lilanicus; Paecilomyces varioti; Paracoccidioides
brasiliensis; Penicillium chrysogenum; Phialophora verrucosa; Phytophthora capsici;
Phytophthora infestans; Plasmopara viticola; Pneumocystis jiroveci; Puccinia coronata;
Puccinia graminis; Pyricularia oryzae; Pythium ultimum; Rhizoctonia solani; Rhizomucor
spp.: Rhizopus spp.: Saccharomyces spp.; Scedosporium apiospermum; Scedosporium prolificans;
Scopulariopsis brevicaulis; Sporothrix spp.; Trichophyton mentagrophytes; Trichophyton
interdigitale; Trichophyton rubrum; Trichosporon asahii; Trichosporon beigelii and
Ustilago maydis.
[0030] Preferably, the protein for use in the invention comprises substantially the protein
sequences SEQ ID Nos. 1 or 2 or a variant thereof.
[0031] By the term "recombinant protein", is meant an amino acid or protein which has been
produced using recombinant DNA or protein technology or methodologies which are known
to the skilled technician.
[0032] The term "substantially the protein sequence" are used herein to refer to related
sequences. As discussed below such related sequences are homologous to (share percentage
identity with) a given sequence, for example over the entire length of the sequence
or over a portion of a given length. The related sequence may also be a fragment of
the sequence or of a homologous sequence.
[0033] By the term "substantially the protein sequence", we mean that the sequence has at
least 50%, preferably 60%, more preferably 70%, and even more preferably, 80% sequence
identity with the amino acid/protein sequences of any one of the sequences referred
to. A sequence which is "substantially the protein sequence" may be the same as the
relevant sequence.
[0034] An amino acid/protein sequence with a greater identity than 65% to any of the sequences
referred to is also envisaged. An amino acid/protein sequence with a greater identity
than 70% to any of the sequences referred to is also envisaged. An amino acid/protein
sequence with a greater identity than 75% to any of the sequences referred to is also
envisaged. An amino acid/protein sequence with a greater identity than 80% to any
of the sequences referred to is also envisaged. Preferably, the amino acid/protein
sequence has 85% identity with any of the sequences referred to, more preferably 90%
identity, even more preferably 92% identity, even more preferably 95% identity, even
more preferably 97% identity, even more preferably 98% identity and, most preferably,
99% identity with any of the referred to sequences.
[0035] The above mentioned percentage identities may be measured over the entire length
of the original sequence or over a region of 15, 20, 50 or 100 amino acids of the
original sequence. In a preferred embodiment percentage identity is measured with
reference to SEQ ID Nos. 1, 2 or 11. Preferably the DHODH protein has at least 40%
identity, such as at least 60% or at least 80% identity with SEQ ID Nos. 1, 2 or 11
or a portion of SEQ ID Nos. 1, 2 or 11.
[0036] Other suitable proteins are those having homologous nucleotide sequences but comprising
all, or portions of, sequence which are altered by the substitution of different codons
that encode an amino acid with a side chain of similar biophysical properties to the
amino acid it substitutes, to produce a conservative change. For example small non-polar,
hydrophobic amino acids include glycine, alanine, leucine, isoleucine, valine, proline,
and methionine. Large non-polar, hydrophobic amino acids include phenylalanine, tryptophan
and tyrosine. The polar neutral amino acids include serine, threonine, cysteine, asparagine
and glutamine. The positively charged (basic) amino acids include lysine, arginine
and histidine. The negatively charged (acidic) amino acids include aspartic acid and
glutamic acid. Certain organisms, including
Candida are known to use non-standard codons compared to those used in the majority of eukaryotes.
Any comparisons of proteins from such organisms with the sequences given here should
take these differences into account.
[0037] Other modifications in protein sequences are also envisaged and within the scope
of the claimed invention, i.e. those which occur during or after translation, e.g.
by acetylation, amidation, carboxylation, phosphorylation, proteolytic cleavage or
linkage to a ligand.
[0038] The protein for use in the invention may be used as a fusion protein, which is defined
as a DHODH polypeptide or fragment thereof fused via a covalent bond (e.g. a peptide
bond), at optionally the N-terminus or the C-terminus, to an amino acid sequence of
another protein (or portion thereof; preferably at least a 10, 20 or 50 amino acid
portion of the protein).
[0039] The term "substantially the protein sequence" also includes a fragment of the relevant
protein sequences, including a fragment of the homologous sequences (which have percentage
identity to a specified sequence) referred to above. A protein fragment will typically
comprise at least 10 amino acids, such as at least 20, 30, 50, 80, 100, 150, 200,
300, 400 or 500 amino acids. The fragments may lack at least 3 amino acids, such as
at least 10, 20, 30, 40, 50, 60, 70, 80, 90, 100 or 110 amino acids from either or
both ends of the protein. In one embodiment of the invention, the protein of the invention
is a DHODH fragment truncated at the N-terminus to remove the mitochondrial targetting
sequence and the transmembrane region of DHODH. These may be determined by using publicly
available software such as TMHMM, PSORTII or MitoProtII, or, in the case of transmembrane
regions, by eye, e.g., 15-20 consecutive hydrophobic residues.
[0040] The invention provides a method of screening which may be used to identify inhibitors
of activity of DHODH proteins.
[0041] The substance may inhibit (antagonise) the activity of the protein. A therapeutic
modulator (against fungal infection) will inhibit the activity of the protein for
use in the invention.
[0042] The method may be carried out
in vitro (inside or outside a cell) or
in vivo, for example on a cell, cell culture or cell extract. The cell may or may not be
a cell in which the polynucleotide or protein is naturally present. The cell may or
may not be a fungal cell, or may or may not be a cell of any of the fungi mentioned
herein. The protein may be present in a non-cellular form in the method, thus the
protein may be in the form of a recombinant protein purified from a cell.
[0043] Whether or not a candidate substance inhibits the activity of the protein is determined
by providing the candidate substance to the protein under conditions that permit activity
of the protein, and determining whether the candidate substance is able to inhibit
the activity of the protein. Binding of a candidate substance to the protein may be
measured. The binding may be determined by measuring a characteristic of the protein
that changes upon binding, such as spectroscopic changes.
[0044] The activity which is measured may be any of the activities of the protein for use
in the invention mentioned herein, such as DHODH activity. Inhibition of the DHODH
protein is measured by the addition of (a) a quinone selected from ubiquinone 5 (coenzyme
Q1) and ubiquinone 10 (coenzyme Q2) and (b) an electron acceptor and detecting the
reduction of the electron acceptor. In one embodiment the screening method comprises
carrying out a DHODH reaction in the presence and absence of the candidate substance
to determine whether the candidate substance inhibits the DHODH activity of the protein
for use in the invention, wherein the DHODH reaction is carried out by contacting
said protein with dihydroorotate, under conditions in which in the absence of the
candidate substance the protein catalyses oxidation of the dihydroorotate.
[0045] In a preferred embodiment the inhibition of the DHODH reaction is measured by addition
of quinone and 2,6-dichloroindophenol (DCIP), and detecting the reduction of 2,6-dichloroindophenol
spectroscopically at 600nm. The quinone is ubiquinone 5 (coenzyme Q1) or ubiquinone
10 (coenzyme Q2). Other suitable electron acceptors may be used instead of DCIP. In
one embodiment of the assay, the concentration of dihydroorotate of is between 100
and 2000 µM, preferably between 200 and 1000 µM, more preferably 500 µM; The quinone
concentration is between 25 and 100 µM, preferably between 40 and 60 µM, more preferably
50 µM; The concentration of 2,6-dichloroindophenol is between 20 and 400 µM, preferably
between 50 and 200 µM, more preferably 100 µM; The pH is between 7.0 and 9.0, preferably
between 7.5 and 8.5, more preferably 8.0; The NaCl or KCl concentration is between
75 and 300 mM, preferably between 100 and 200 mM, more preferably 150 mM; The Tris.HCl
concentration is between 10 and 200 mM, preferably between 25 and 100 mM, more preferably
50 mM; The DMSO concentration is between 0 and 5 % v/v, preferably between 0.25 and
3 %, even more preferably between 0.5 and 2 %, most preferably 1%; The glycerol concentration
is between 0 and 20 % v/v, preferably between 1 and 10 %, most preferably 8%; The
Triton X-100 concentration is between 0 and 5 % v/v, preferably between 0.25 and 2
%, most preferably 0.08%; The reaction temperature is between 10 and 37°C, preferably
between 15 and 25°C, more preferably room temperature; The Z' value is ≥0.2, preferably
≥0.3, preferably ≥0.375, more preferably ≥0.4, even more preferably ≥ 0.5, most preferably
≥0.6; The %CV value is <10%, preferably <7.5%, more preferably < 5%, even more preferably
< 3%.
[0046] In an embodiment of the invention, the concentration of the enzyme is one that is
in the linear range with respect to time and protein concentration, i.e., reaction
incubation time and concentration of DHODH enzyme are chosen such the time is in the
linear phase of the plot of product production against time, and such that there is
a direct and linear relationship between the amount of enzyme and the amount of product
produced. Preferably the incubation time is between 10 and 60 minutes, more preferably
between 20 and 40 minutes.
[0047] The parameters %CV, the coefficient of variation, and Z', the dynamic range, are
defined as follows, where SD stands for standard deviation; 100% control, a microwell
plate where all wells contain the uninhibited reaction; 0% control, a microwell plate
where all wells contain a completely inhibited reaction, or no enzyme:

where the plate is a 0% control.

[0048] In one embodiment of the invention, compounds screened against a fungal DHODH are
used in a counter-screen with a mammalian DHODH protein, which comprises the sequence
shown by SEQ ID NO: 11; or a protein which has at least 80% identity with mammalian
DHODH; or a protein comprising a fragment of the mammalian DHODH, which fragment has
a length of at least 50 amino acids, such that the antifungal agents identified above
are contacted with a mammalian DHODH to identify those which show little or no binding
or modulation of the human enzyme.
[0049] In one embodiment the method is capable of identifying inhibitors that have an IC
50 (concentration of inhibitor that inhibits enzyme activity by 50%) of 10 nM to 100
nM or 20 nM to 100 nM. In another embodiment the method is capable of identifying
inhibitors that have a Ki of 20nM to 60 nm. The method may be capable of identifying
inhibitors that have a binding to DHODH which is reversible and/or competitive with
coenzyme Q cosubstrate (indicating binding of the inhibitor within the quinone pocket
of DHODH). Thus the inhibitor may be selected based on possessing one or more of these
physical properties.
[0050] For the DHODH enzyme of A. fumigatus, the following regions contribute to the quinone
pocket environment:
Valine 87 to glutamic acid 135
Valine 144 to leucine 218
Asparagine 487 to arginine 530.
[0051] For the DHODH enzyme of C. albicans, the following regions contribute to the quinone
pocket environment:
Tyrosine 52 to leucine 95
Valine 106 to serine 180
Asparagine 388 to glutamic acid 431.
[0052] Thus the inhibitor may selected based on its ability to bind any of these regions
of the DHODH enzyme of A. fumigatus or C. albicans or to equivalent regions of other
DHODH enzymes.
[0053] Suitable candidate substances which can tested in the above methods include antibody
products (for example, monoclonal and polyclonal antibodies, single chain antibodies,
chimeric antibodies and CDR-grafted antibodies). Furthermore, combinatorial libraries,
defined chemical identities, peptide and peptide mimetics, oligonucleotides and natural
product libraries , such as display libraries (e.g. phage display libraries) may also
be tested. The candidate substances may be chemical compounds. Batches of the candidate
substances may be used in an initial screen of, for example, ten substances per reaction,
and the substances from batches which show inhibition tested individually.
[0054] The method of the invention has been used to identify compounds which target a DHODH
protein of a fungus. By this method, the inventors identified the quinazolinone compounds
of formula (I) as DHODH inhibitors. These compounds have been subsequently assessed
in anti-fungal assays and have been found to have anti-fungal activity against a number
of strains of
Aspergillus fungi.
[0055] In the compounds of formula (I), R1 to R4 are preferably independently selected from
H, C1-C4 alkyl, C2-C4 alkenyl, OR', NR'R", F, Cl and cyano, where R' and R" are independently
H or C1-C4 alkyl. More preferably, R1 to R4 are independently selected from H, C1-C4
alkyl, OR' and NR'R", where R' and R" are independently H or C1-C4 alkyl, preferably
H or C1-C2 alkyl. Most preferably, R1 to R4 are independently selected from H, methyl,
-OMe or -N(Me)
2.
[0056] R1 to R4 may themselves be unsubstituted or substituted. Where R1 to R4 are substituted,
they typically carry one, two or three, preferably one, substituent which is itself
unsubstituted. Suitable substituents include F, Cl, OH and O(C1-C4 alkyl). More preferably,
R1 to R4 are unsubstituted.
[0057] The substituents on the R5 phenyl ring are typically chosen from the groups defined
as R1 to R4 above. Preferred substituents are C1-C4 alkyl, C2-C4 alkenyl, OR', NR'R",
F, Cl and cyano, where R' and R" are independently H or C1-C4 alkyl. More preferred
substituents are C1-C4 alkyl, OR' or NR'R", where R' and R" are independently H or
C1-C2 alkyl. Typically, the R5 phenyl ring is unsubstituted or carries one or two
substituents. One substituent is preferred.
[0058] The substituents on the R5 phenyl ring may be unsubstituted or substituted. Typically
they are unsubstituted or substituted with from one to three, preferably one, substituent
which is itself unsubstituted. Suitable substituents include F, Cl, OH and O(C1-C4
alkyl). More preferably, the substituents on the R5 phenyl ring are unsubstituted.
[0059] R6 is preferably ethyl or isopropyl, most preferably isopropyl.
[0060] Particular examples of quinazolinone compounds are the compounds identified as Compound
Examples 1 to 15 in Example 3, and their pharmaceutically acceptable salts.
[0061] Compounds containing one or more chiral centre may be used in enantiomerically or
diastereoisomerically pure form, or in the form of a mixture of isomers. For the avoidance
of doubt, the compounds can, if desired, be used in the form of solvates. Further,
for the avoidance of doubt, the compounds may be used in any tautomeric form.
[0062] As used herein, a pharmaceutically acceptable salt is a salt with a pharmaceutically
acceptable acid or base. Pharmaceutically acceptable acids include both inorganic
acids such as hydrochloric, sulphuric, phosphoric, diphosphoric, hydrobromic, hydroiodic
or nitric acid and organic acids such as citric, fumaric, maleic, malic, ascorbic,
succinic, tartaric, benzoic, acetic, methanesulphonic, ethanesulphonic, benzenesulphonic,
p-toluenesulphonic acid, formic, acetic, propionic, glycolic, lactic, pyruvic, oxalic,
salicylic, trichloroacetic, picric, trifluoroacetic, cinnamic, pamoic, malonic, mandelic,
bismethylene salicylic, ethanedisulfonic, gluconic, citraconic, aspartic, stearic,
palmitic, EDTA, p-aminobenzoic or glutamic acid, sulfates, nitrates, phosphates, perchlorates,
borates, acetates, benzoates, hydroxynaphthoates, glycerophosphates or ketoglutarates.
Further examples of pharmaceutically acceptable inorganic or organic acid addition
salts include the pharmaceutically acceptable salts listed in
Journal of Pharmaceutical Science, 66, 2 (1977) which are known to the skilled artisan. Pharmaceutically acceptable bases include
alkali metal (e.g. sodium or potassium) and alkali earth metal (e.g. calcium or magnesium)
hydroxides and organic bases such as alkyl amines, aralkyl amines and heterocyclic
amines, lysine, guanidine, diethanolamine and choline.
[0063] Also intended as pharmaceutically acceptable acid addition salts are the hydrates
which the quinazolinone compounds are able to form.
[0064] The acid addition salts may be obtained as the direct products of compound synthesis.
In the alternative, the free base may be dissolved in a suitable solvent containing
the appropriate acid, and the salt isolated by evaporating the solvent or otherwise
separating the salt and solvent.
[0065] The solvates may be obtained using standard low molecular weight solvents according
to methods known to the skilled artisan.
[0066] The quinazolinone derivatives may also be used in the form of a prodrug. A prodrug
is an analogue of a compound which will be converted
in vivo to the desired active compound. Examples of suitable prodrugs include compounds of
formula (I) which have been modified at a carboxylic acid group to form an ester,
or at hydroxyl group to form an ester or carbamate. Other suitable methods will be
known to those skilled in the art. Further suitable prodrugs include those in which
a nitrogen atom of a compound of formula (I) is quaternised by addition of an ester
or alkyl ester group. For example, the nitrogen atom of an amine group at R1 to R4
or on a substituent of the R5 phenyl ring may be quaternised by addition of a -CH
2-O-COR group, wherein R is typically methyl or tert-butyl.
[0067] The quinazolinone derivatives of formula (I) can be prepared as follows:

[0068] In a first step, the 2-amino benzoic acid compound (IV) is esterified, for example
in methanol and concentrated sulfuric acid. In an alternative process, the 2-nitro
benzoic acid may be used and, following esterification, the nitro group converted
to an amino group in appropriate reducing conditions such as Raney Nickel in methanol.
Further details of the synthesis of the compounds can be found in Example 3. The starting
materials for the above synthesis are commercially available or could be prepared
by a skilled chemist using known techniques.
[0069] As discussed above, the quinazolinone compounds of formula (I), and other compounds
identified by the method of the invention, are useful in the treatment or prevention
of fungal infection. Preferably, the fungal infection comprises an infection by a
fungus, more preferably an Ascomycete, and even more preferably, an organism selected
from the genera
Absidia; Acremonium; Alternaria; Aspergillus; Bipolaris; Blastomyces; Blumeria; Candida;
Cladosporium; Coccidioides; Colletotrichium; Cryptococcus; Curvularia; Encephalitozoon;
Epicoccum; Epidermophyton; Exophiala; Exserohilum; Fonsecaea; Fusarium; Histoplasma;
Leptosphaeria; Microsporum; Mycosphaerella; Neurospora, Paecilomyces; Paracoccidioides;
Penicillium; Phialophora; Phytophthora; Plasmopara; Pneumocystis; Pseudallescheria;
Pyricularia; Pythium; Puccinia; Rhizoctonia; Rhizomucor; Rhizopus; Saccharomyces;
Scedosporium; Scopulariopsis; Sporothrix; Trichophyton; Trichosporon; Ustilago and
Wangiella.
[0070] Preferably, the fungal infection comprises an infection by an organism selected from
the species
Absidia corymbifera; Acremonium spp.: Alternaria alternata; Aspergillus flavus; Aspergillus
fumigatus; Aspergillus nidulans; Aspergillus niger; Aspergillus parasiticus; Aspergillus
terreus; Bipolaris spp.: Blastomyces dermatitidis; Blumeria graminis; Candida albicans;
Candida glabrata; Candida krusei; Candida parapsilosis; Candida tropicalis; Cladosporium
carrionii; Cladosporium cladosporoides; Cladosporium herbarium; Coccidioides immitis;
Coccidioides posadasii; Curvularia lunata; Colletotrichium trifolii; Cryptococcus
neoformans; Encephalitozoon cuniculi; Epicoccum nigrum; Epidermophyton floccosum;
Exophiala spp.: Exserohilum rostratum; Fonsecaea pedrosoi; Fusarium graminarium; Fusarium
solani; Fusarium sporotrichoides; Histoplasma capsulatum; Leptosphaeria nodorum; Microsporum
canis; Mycosphaerella graminicola; Paecilomyces lilanicus; Paecilomyces varioti; Paracoccidioides
brasiliensis; Penicillium chrysogenum; Phialophora verrucosa; Phytophthora capsici;
Phytophthora infestans; Plasmopara viticola; Pneumocystis jiroveci; Puccinia coronata;
Puccinia graminis; Pyricularia oryzae; Pythium ultimum; Rhizoctonia solani; Rhizomucor
spp.: Rhizopus spp.: Saccharomyces spp.; Scedosporium apiospermum; Scedosporium prolificans;
Scopulariopsis brevicaulis; Sporothrix spp.; Trichophyton mentagrophytes; Trichophyton
interdigitale; Trichophyton rubrum; Trichosporon asahii; Trichosporon beigelii and
Ustilago maydis.
[0071] In one instance, the fungal infection is by an organism of the
Aspergillus genus, for example by
Aspergillus flavus; Aspergillus fumigatus; Aspergillus nidulans; Aspergillus niger;
Aspergillus parasiticus; or
Aspergillus terreus.
[0072] Examples of fungal diseases, which can be prevented or treated using the compounds
identified using the invention, include both systemic and superficial infections.
The fungal diseases include invasive fungal diseases caused by Aspergillus and Candida
species such as aspergillosis or candidiasis, but also local forms of these infections.
The compounds identified using the invention are particularly useful against diseases
caused by Aspergillus species, for which a fungicidal drug is required which has lower
toxicity than amphotericin. They may also be used for the treatment of dermatological
infections.
[0073] Examples of systemic infections which might be prevented or treated using the compounds
identified using the invention include: systemic candidiasis; pulmonary aspergillosis,
e.g. in immunosuppressed patients such as bone marrow recipients or AIDS patients;
systemic aspergillosis; cryptococcal meningitis; rhinocerebral mucomycosis; blastomycosis;
histoplasmosis; coccidiomycosis; paracoccidiomycosis; lobomycosis; sporotrichosis;
chromoblastomycosis; phaeohyphomycosis; zygomycosis; cryptococcosis and disseminated
sporotrichosis.
[0074] Examples of superficial infections, which can be prevented or treated using the compounds
of the invention, include: ring worm; athlete's foot; tinea unguium (nail infection);
candidiasis of skin, mouth or vagina; and chronic mucocutaneous candidiasis.
[0075] Examples of diseases or conditions which are caused by fungi or where fungi exacerbate
an allergic response, and which can be prevented or treated using the compounds identified
using the invention, include allergic bronchopulmonary asthma (ABPA); asthma, rhinosinusitis
and sinusitis.
[0076] In order to use DHODH inhibitors, for example the quinazolinone derivatives of formula
(I) or their pharmaceutically acceptable salts, in therapy (human or veterinary),
they will normally be formulated into a pharmaceutical composition in accordance with
standard pharmaceutical practice, e. g. by admixing the DHODH inhibitor and a pharmaceutically
acceptable carrier.
[0077] Thus described herein is a pharmaceutical composition comprising a DHODH inhibitor,
for example a quinazolinone derivative of formula (I) or a pharmaceutically acceptable
salt thereof, and a pharmaceutically acceptable carrier. The pharmaceutical compositions
are particularly useful in the prevention or treatment of fungal infections, preferably,
in the treatment of Aspergillus or Candida fungal infections.
[0078] The pharmaceutical composition typically contains up to 85 wt% of a DHODH inhibitor,
for example a quinazolinone derivative of formula (I) or a pharmaceutically acceptable
salt thereof. More typically, it contains up to 50 wt% of a DHODH inhibitor, for example
a quinazolinone derivative of formula (I) or a pharmaceutically acceptable salt thereof.
Preferred pharmaceutical compositions are sterile and pyrogen free. Where a DHODH
inhibitor, for example a quinazolinone derivative of formula (I) or a pharmaceutically
acceptable salt thereof, can exist as optical isomers, the pharmaceutical compositions
typically contain a substantially pure optical isomer.
[0079] DHODH inhibitors such as the quinazolinone derivatives of formula (I) or pharmaceutically
acceptable salts thereof may be administered to a host by any of the routes conventionally
used for drug administration, for example they may be administered parenterally, orally,
topically (including buccal, sublingual or transdermal) or by inhalation. The most
suitable route for administration in any given case will depend on the particular
DHODH inhibitor, the infectious organism involved, the host, and the nature and severity
of the disease and the physical condition of the host.
[0080] As discussed above, the DHODH inhibitors such as the quinazolinone derivatives of
formula (I) or pharmaceutically acceptable salts thereof, are typically formulated
for administration with a pharmaceutically acceptable carrier or diluent. For example,
solid oral forms may contain, together with the active compound, solubilising agents,
e.g. cyclodextrins or modified cyclodextrins; diluents, e.g. lactose, dextrose, saccharose,
cellulose, corn starch or potato starch; lubricants, e.g. silica, talc, stearic acid,
magnesium or calcium stearate, and/or polyethylene glycols; binding agents; e.g. starches,
arabic gums, gelatin, methylcellulose, carboxymethylcellulose or polyvinyl pyrrolidone;
disaggregating agents, e.g. starch, alginic acid, alginates or sodium starch glycolate;
effervescing mixtures; dyestuffs; sweeteners; wetting agents, such as lecithin, polysorbates,
laurylsulphates; and, in general, non-toxic and pharmacologically inactive substances
used in pharmaceutical formulations. Such pharmaceutical preparations may be manufactured
in known manner, for example, by means of mixing, granulating, tabletting, sugar-coating,
or film coating processes.
[0081] Liquid dispersions for oral administration may be solutions, syrups, emulsions and
suspensions. The solutions may contain solubilising agents e.g. cyclodextrins or modified
cyclodextrins. The syrups may contain as carriers, for example, saccharose or saccharose
with glycerine and/or mannitol and/or sorbitol.
[0082] Suspensions and emulsions may contain as carrier, for example a natural gum, agar,
sodium alginate, pectin, methylcellulose, carboxymethylcellulose, or polyvinyl alcohol.
The suspensions or solutions for intramuscular injections may contain, together with
the active compound, a pharmaceutically acceptable carrier, e.g. sterile water, olive
oil, ethyl oleate, glycols, e.g. propylene glycol; solubilising agents, e.g. cyclodextrins
or modified cyclodextrins, and if desired, a suitable amount of lidocaine hydrochloride.
[0083] Solutions for intravenous or infusions may contain as carrier, for example, sterile
water and solubilising agents, e.g. cyclodextrins or modified cyclodextrins or preferably
they may be in the form of sterile, aqueous, isotonic saline solutions.
[0084] A therapeutically effective amount a DHODH inhibitor, for example a quinazolinone
derivative of formula (I) or a pharmaceutically acceptable salt thereof, is administered
to a patient. A typical daily dose is up to 200 mg per kg of body weight, for example
from 0.001 to 200 mg per kg of body weight, according to the activity of the specific
compound, the age, weight and conditions of the subject to be treated, the type and
severity of the disease and the frequency and route of administration. Preferably,
daily dosage levels are from 0.05 mg to 50 g, for example from 0.1 mg to 10 mg. The
DHODH inhibitor, for example the quinazolinone derivative of formula (I) or pharmaceutically
acceptable salt thereof, is typically administered to the patient in a non-toxic amount.
[0085] The DHODH inhibitors, for example the quinazolinone derivative of formula (I) or
pharmaceutically acceptable salt thereof, may be administered in combination, e. g.
simultaneously, sequentially or separately, with one or more other therapeutically
active, e. g. antifungal, compounds.
[0086] The following examples are to be construed as merely illustrative and not a limitation
on the scope of the invention in any way.
EXAMPLES
Example 1: Preparation of recombinant DHODH
1.1 Recombinant A. fumigatus DHODH
[0087] An N-terminally truncated DHODH construct (AF_DHODH_TR) lacking the mitochondrial
targeting sequence and the transmembrane domain was prepared, encoding a protein starting
at alanine 89 (
ATDTRA...). RNA was prepared from
A. fumigatus biomass using a FastRNA Pro Red kit from QBiogene and a Fastprep FP120 instrument
following the manufacturers instructions. The RNA was DNase treated with Turbo DNAfree
(Ambion) to remove contaminating DNA. cDNA was prepared from the DNase-treated RNA
using AMV reverse transcriptase (Promega) following the manufacturers protocol.
[0088] Primers were designed to clone
A. fumigatus DHODH cDNA into pET-30 (Novagen) by ligation independent cloning (LIC):
SEQ ID No. 3 JO_AFpyrEtr_F4
GACGACGACAAGATGGCGACGGATACCAGGGCAAG
SEQ ID No. 4 JO_AFpyrE_R3
GAGGAGAAGCCCGGTCTATTGACGGTTTTTCTTTTCC
[0089] High fidelity PCR of AF_DHODH_TR was carried out using KOD polymerase (Novagen),
A fumigatus cDNA and primers JO_AFpyrEtr_F4 and JO_AFpyrE_R3. The PCR product was purified using
a Qiaquick column (Qiagen) and treated with T4 DNA polymerase and dATP to produce
overhangs for cloning into a LIC vector (Novagen). The treated DNA was then annealed
to ready-prepared pET-30. The sample was transformed into competent NovaBlue
E. coli (GigaSingles, Novagen). Plasmid DNA from transformants was sequenced to confirm the
cDNA was correctly cloned.
[0090] pET-30_AF_DHODH_TR was digested with KpnI and HindIII (Fermentas) to release the
coding sequence of AF_DHODH_TR. pET43.1 vector DNA was also treated with KpnI and
HindIII. The vector and insert were ligated together using T4 DNA ligase (Fermentas)
in an overnight reaction at 14°C. A sample of the ligation reaction was transformed
into electrocompetent Genehogs (Invitrogen) by electroporation. Transformants were
obtained and plasmid DNA prepared. Diagnostic digests with EcoRV confirmed that AF_DHODH_TR
had been cloned into pET43.1.
[0091] Protein expression was performed as follows: pET43.1_AF_DHODH_TR DNA was transformed
into BL21 DE3
E. coli (Novagen) and the transformation mixture incubated in LB broth plus 100 ug/ml ampicillin
overnight at 37°C with shaking. 1 ml of the overnight culture was inoculated into
50 ml of LB ampicillin plus 1% glucose and flavin mononucleotide (final concentration
100 uM) and incubated at 37°C with shaking until the OD600 was greater than 0.5. IPTG
(final concentration 0.5 mM) was added and the cultures incubated at 18°C with shaking
overnight.
[0092] The culture was centrifuged at 4000g for 20 min to pellet the
E coli. A Bugbuster mix was prepared (1x Bugbuster, 25 U/ml Benzonase, 1 kU/ml rLysozyme
(all Novagen), 1/100 vol of protease inhibitor cocktail for His-tagged proteins (Sigma)
and 100 uM FMN) and 3-5 ml was added to the bacterial pellet. Following incubation
at room temperature for 10-20 min with mixing a clear lysate was obtained. The lysate
was centrifuged at 16000g for 20 min at 4°C. Meanwhile 1 ml of Ni-NTA His-bind resin
(Novagen) was washed with 5 ml of wash buffer (50 mM sodium phosphate pH8, 500 mM
NaCl, 20 mM imidazole, 0.1% Tween 20) and pre-equilibrated with Bugbuster mix on ice.
The lysate supernatant was mixed with the pre-equilibrated resin for 1-2h on ice.
The resin and lysate mixture was then poured into a 0.8 x 4 cm Poly-Prep chromatography
column (Bio-Rad). The flow-through was collected. The resin was washed twice with
5 ml of wash buffer. The protein was eluted with 4 x 0.5 ml of elution buffer (50
mM sodium phosphate pH8, 500 mM NaCl, 250 mM imidazole, 0.1% Tween 20, 1/100 vol of
protease inhibitor cocktail). The eluate was then subjected to buffer exchange using
a PD10 column (GE Healthcare) and eluting in DHODH assay buffer (50 mM Tris-HCl pH8,
150 mM KCl, 10% glycerol, 0.1% triton X-100).
1.2 Recombinant DHODH from human, Candida albicans and rat
[0093] The method for producing these proteins was the same as described above for AF_DHODH.
In the case of human and rat, cDNA clones were obtained from Geneservice Ltd. The
complete cDNA for human DHODH in pCMVsport6 was present in the IMAGE clone 6064723
(MGC70636) and bases 16-1188 of the
Rattus norvegicus cDNA in pExpress I were present in the IMAGE clone 7317263. N-terminally truncated
human DHODH was LIC cloned into pET30 and then sub-cloned into pET43.1 as described
for AF_DHODH using the primers JO_hD licF2 and JO_hD licR1 listed below. N-terminally
truncated rat DHODH was cloned directly into pET43.1 by LIC cloning using the primers
JO_rD licF2 and JO_rD licR1 listed below.
Candida albicans cDNA was prepared as for
A. fumigatus cDNA described above. Due to differences in the genetic code for
C. albicans, mutagenesis of two CTG codons to TCG codons was carried out by PCR mutagenesis followed
by fusion PCR as described in
Zameitat et al. 2006, FEBS Journal 273, 3183-3191. The mutated product was cloned into pGEMTeasy (Promega), sequenced and then subjected
to LIC cloning into pET43.1 using the primers JO_CAD licF3 and JO_CAD_licR1.
SEQ ID No. 5: JO_hD licF2 GACGACGACAAGATGGCCACGGGAGATGAGCG
SEQ ID No. 6: JO_hD licR1 GAGGAGAAGCCCGGTTCACCTCCGATGATCTGCTC
SEQ ID No. 7: JO_rD licF2 GACGACGACAAGATGACGGCCACAGGGGATGAC
SEQ ID No. 8: JO rD licR1 GAGGAGAAGCCCGGTTCACCTCCGATGATCTGCTC
SEQ ID No. 9: JO_CAD licF3
GACGACGACAAGATGTCAAGATCAGCAATCCATGA
SEQ ID No. 10: JO_CAD licR1
GAGGAGAAGCCCGGTTCACTTATCATCAGAGCCAA
[0094] Following cloning into pET-43.1, the procedure outlined above for AF_DHODH was followed
for the expression and purification of the recombinant proteins.
Example 2: High-throughput screen for DHODH inhibitors
[0095] Screening was carried out using a Thermo Labsystems Multidrop 384 machine (Multidrop®
384), complete with dispensing cassette and plate adapter, and Tecan Genesis Freedom
and Tecan Te-Mo automated liquid handling robots.
- 1. The following buffer and stock solution were prepared:
Buffer A: 62.5 mM TrisHCl (pH8.0), 150 mM NaCl, 10% v/v glycerol
DHO/Coenzyme Q2/DCIP solution: 19.848 mg dihydroorotate (DHO; Sigma) was dissolved
in 160 µl DMSO. Coenzyme Q2 (Sigma) was dissolved in DMSO to give a concentration
of 10 mg/ml. 7.236mg 2,6-dichloroindophenol (DCIP; Sigma) was dissolved in 160 µl
DMSO. The stock solution was made with 127.36 µl DHO, 127.36 µl DCIP and 318.4 µl
Coenzyme Q2, made up to 80 ml with Buffer A. Final concentrations in assay wells were;
DHO, 500 µM; Coenzyme Q, 50 µM; DCIP, 100 µM.
- 2. Compounds were aliquotted into 384-well microtitre plates at a range of dilutions
to give final concentrations in the assay of 100 - 0.001 mM. Duplicate sets of plates
were used such that one set received enzyme while a control set received no enzyme.
Since compounds are frequently dissolved in DMSO or a DMSO/water mixture, assays were
set up to give a final concentration of 1% (v/v) DMSO in wells.
- 3. Recombinant A. fumigatus DHODH was suspended in Buffer A to give a concentration of 1435.8 ng protein in 20
µl. Then 20 µl of DHODH solution was added to all the +enzyme plates and 20 µl of
Buffer A was added to all the control -enzyme plates.
- 4. 20 µl of DHO/Coenzyme Q2/DCIP solution was added to all the wells, after which
plates were incubated at room temperature for 24 minutes each and then read on a Tecan
Safire spectrophotometer at 600nm.
[0096] Recombinant DHODH from human or
C. albicans was assayed in the same way. It is necessary to adjust the enzyme concentration and
reaction time to take into account variations in activity of enzyme batches, thus
the incubation time was 20 minutes for the
C. albicans enzyme and 34 minutes for the human enzyme. Results are shown in Table 1. Measurements
of assay quality are shown in Table 2. Compounds are screened against a fungal and
human enzyme to identify compounds which are selective for the fungal enzyme. The
inventors have also found that the assay can be carried out in a final concentration
of 150 mM KCl as opposed to NaCl, and that addition of Triton X-100 can be of value
under some circumstances.
Table 1. IC50 values for DHODH inhibitors identified from screens1
| |
Human |
C. albicans |
A. fumigatus |
| Brequinar |
0.0118 |
143.0 |
n.d |
| Compound 1 |
8.6 |
36.1 |
n.d. |
| Compound 2 |
>128.0 |
>128.0 |
n.d. |
| Compound 3 |
>133.2 |
>133.2 |
2.14 |
| 1. Values are IC50 in µM; n.d., not done. |
Table 2. Assay quality measurements for DHODH high-throughput screens
| |
Human |
C. albicans |
A. fumigatus |
| Z' 1 |
0.375 |
0.625 |
n.d. |
| %CV (0% control)1 |
2.8% |
2.7% |
n.d. |
| 1. Parameters are defined in "Detailed Description of the Invention" above; n.d.,
not done. |
Reference Example 3: DHODH inhibitors
[0097] The following compounds were identified by the method of the Example 2 as DHODH inhibitors.
Results from the Example 2 screen, and details of the preparation of these compounds
are also provided.
- 1. 2-Isopropylsulfanyl-3-(2-methoxy-phenyl)-7-methyl-3H-quinazolin-4-one,
- 2. 2-Isopropylsulfanyl-3-(2-methoxy-phenyl)-6-methyl-3H-quinazolin-4-one,
- 3. 2-Isopropylsulfanyl-3-(2-methoxy-phenyl)-5-methyl-3H-quinazolin-4-one,
- 4. 2-Isopropylsulfanyl-5-methoxy-3-(2-methoxy-phenyl)-3H-quinazolin-4-one,
- 5. 2-Ethylsulfanyl-3-(2-methoxy-phenyl)-7-methyl-3H-quinazolin-4-one,
- 6. 6-Dimethylamino-2-isopropylsulfanyl-3-(2-methoxy-phenyl)-3H-quinazolin-4-one,
- 7. 2-Isopropylsulfanyl-3-(2-methoxy-phenyl)-3H-quinazolin-4-one,
- 8. 3-(2-Isopropyl-phenyl)-2-isopropylsulfanyl-3H-quinazolin-4-one,
- 9. 3-(2-Ethyl-phenyl)-2-isopropylsulfanyl-3H-quinazolin-4-one,
- 10. 2-Isopropylsulfanyl-6-methoxy-3-(2-methoxy-phenyl)-3H-quinazolin-4-one,
- 11. 3-(2-Dimethylamino-phenyl)-2-isopropylsulfanyl-3H-quinazolin-4-one,
- 12. 2-Ethylsulfanyl-5-methoxy-3-(2-methoxy-phenyl)-3H-quinazolin-4-one,
- 13. 3-(2-Ethyl-phenyl)-2-ethylsulfanyl-3H-quinazolin-4-one,
- 14. 2-Ethylsulfanyl-3-(2-methoxy-phenyl)-5-methyl-3H-quinazolin-4-one,
- 15. 2-Ethylsulfanyl-3-(2-isopropyl-phenyl)-3H-quinazolin-4-one.
Table 3. IC50 values for Compound Examples 1 to 15 identified from screens1
| Compound Example |
Human |
C. albicans |
A. fumigatus |
| 1 |
51.3 |
117 |
1.46 |
| 2 |
6.54 |
117 |
2.83 |
| 3 |
40.2 |
117 |
4.52 |
| 4 |
73 |
112 |
4.95 |
| 5 |
15.5 |
123 |
5.4 |
| 6 |
1.09 |
108 |
10.1 |
| 7 |
50.1 |
123 |
11.6 |
| 8 |
131 |
106 |
12.2 |
| 9 |
123 |
115 |
17.7 |
| 10 |
50.2 |
104 |
19.6 |
| 11 |
118 |
118 |
21.2 |
| 12 |
117 |
117 |
26.9 |
| 13 |
86.1 |
141 |
36.2 |
| 14 |
32.1 |
123 |
43.7 |
| 15 |
23.2 |
118 |
46.1 |
| 1. Values are IC50 in µM. |
Synthesis of Compound Examples 1 to 15
Reference Example 1: 5-Dimethylamino-2-nitro-benzoic acid
[0098] Sodium cyanoborohydride (690 mg, 10.99 mmol) was added portion wise to a mixture
of 5-amino-2-nitro benzoic acid (500 mg, 2.74 mmol) and formaldehyde (40% aqueous,
2.5 mL, 83.33 mmol) in acetonitrile (10 mL) and the mixture was stirred for 16 hr.
Methanol (10 mL) was added and the reaction mixture was evaporated
in vacuo to afford 5-dimethylamino-2-nitrobenzoic acid (900 mg, 89%) as brownish yellow solid.
Reference Example 2: 2-Amino-4-methyl-benzoic acid methyl ester
[0099] Concentrated sulphuric acid (1 mL) was added to a solution of 2-amino-4-methyl-benzoic
acid (1.0 g, 6.62 mmol) in dry methanol (10 mL) at 0 °C, and then heated at reflux
for 16 hr. The mixture was cooled to room temperature and concentrated in
vacuo. The crude compound was diluted with water (25 mL) and basified with sodium bicarbonate
(10 mL). The aqueous layer was extracted with ethyl acetate (2 x 50 mL) and the combined
organic layers were washed with water (50 mL), brine (50 mL) and dried over sodium
sulfate. The organic layer was concentrated under reduced pressure affording 2-amino-4-methyl-benzoic
acid methyl ester (900 mg, 82%) as yellow liquid.
Reference Example 2a
[0100] The compound set out below was prepared in a manner analogous to Reference Example
2:
| Reference Example |
Compound |
| 2a |
2-Amino-5-methoxy-benzoic acid methyl ester |
Reference Example 3: 2-Amino-5-methyl-benzoic acid methyl ester
[0101] Thionyl chloride (2.88 mL, 39.69 mmol) was added drop wise to a solution of 2-amino-5-methyl-benzoic
acid (3.0 g, 19.84 mmol) in methanol (10 mL) at 0 °C and refluxed for 16 hr. The reaction
mixture was concentrated to dryness and the residue dissolved in chloroform (100 mL).
The organic layer was washed with sodium bicarbonate solution (5 x 30 mL), water (3
x 30 mL), brine (3 x 30 mL) and dried over anhydrous sodium sulphate. The residue
was concentrated under vacuum to yield the crude compound, which was purified by column
chromatography over silica gel (100-200 mesh) using 2% ethyl acetate in pet ether
as eluent to afford 2-amino-5-methyl-benzoic acid methyl ester (2.0 g, 61%) as a pale
yellow semi solid.
Reference Example 3a to 3c
[0102] The compounds set out below were prepared in a manner analogous to Reference Example
3:
| Reference Example |
Compound |
| 3a |
2-Amino-6-methyl-benzoic acid methyl ester |
| 3b |
2-Amino-6-methoxy-benzoic acid methyl ester |
| 3c |
5-Dimethylamino-2-nitro-benzoic acid methyl ester |
Reference Example 4: 2-Amino-5-dimethylamino-benzoic acid methyl ester
[0103] Raney Nickel (80 mg) was added to a suspension of 5-dimethylamino-2-nitro-benzoic
acid methyl ester (400 mg, 1.78 mmol) in methanol (20 mL) and hydrogenated under atmospheric
pressure at room temperature for 2 hr. The reaction mixture was filtered over celite
and the filtrate was concentrated in vacuum to afford methyl 2-amino-5-dimethylamino-benzoic
acid methyl ester (340 mg, 98%) as greenish brown liquid.
Reference Example 5: 2-Mercapto-3-(2-methoxy-phenyl)-7-methyl-3H-quinazolin-4-one
[0104] 1-Isothiocyanato-2-methoxy-benzene (0.76 mL, 5.45 mmol) was added to a solution of
2-amino-4-methyl-benzoic acid methyl ester (900 mg, 5.45 mmol) and acetic acid (1.5
mL) in ethanol (10 mL), and heated at reflux for 16 hr. The reaction mixture was cooled
to room temperature and diluted with ethanol. The precipitated solid was filtered,
washed with ethanol and dried to afford 2-mercapto-3-(2-methoxy-phenyl)-7-methyl-3H-quinazolin-4-one
(1.0 g, 62%) as white solid.
Reference Example 5a to 5f
[0105] The compounds set out below were prepared in a manner analogous to Reference Example
5:
| Reference Example |
Compound |
| 5a |
2-Mercapto-3-(2-methoxy-phenyl)-6-methyl-3H-quinazolin-4-one |
| 5b |
2-Mercapto-3-(2-methoxy-phenyl)-5-methyl-3H-quinazolin-4-one |
| 5c |
2-Mercapto-5-methoxy-3-(2-methoxy-phenyl)-3H-quinazolin-4-one |
| 5d |
6-Dimethylamino-2-mercapto-3-(2-methoxy-phenyl)-3H-quinazolin-4-one |
| 5e |
2-Mercapto-3-(2-methoxy-phenyl)-3H-quinazolin-4-one |
| 5f |
2-Mercapto-6-methoxy-3-(2-methoxy-phenyl)-3H-quinazolin-4-one |
Reference Example 6: 3-(2-Isopropyl-phenyl)-2-mercapto-3H-quinazolin-4-one
[0106] 2-Isothiocyanato-benzoic acid methyl ester (0.58 mL, 3.69 mmol) was added to a solution
of 2-isopropyl aniline (500 mg, 3.69 mmol) and sodium methoxide (10 mg) in 2-propanol
(10 mL) at room temperature and heated at reflux for 16 hr. The reaction mixture was
concentrated to dryness under vacuum. The crude material was washed with dichloromethane
(2 x 10 mL), 10% methanol in chloroform (2 x 10 mL) and dried under reduced pressure
to afford 3-(2-isopropyl-phenyl)-2-mercapto-3H-quinazolin-4-one (600 mg, 55%) as white
solid.
Reference Example 6a to 6b
[0107] The compounds set out below were prepared in a manner analogous to Reference Example
6:
| Reference Example |
Compound |
| 6a |
3-(2-Ethyl-phenyl)-2-mercapto-3H-quinazolin-4-one |
| 6b |
3-(2-Dimethylamino-phenyl)-2-mercapto-3H-quinazolin-4-one |
Compound Example 1: 2-Isopropylsulfanyl-3-(2-methoxy-phenyl)-7-methyl-3H-quinazolin-4-one
[0108] Isopropyl bromide (0.11 mL, 1.25 mmol) was added to a suspension of 2-mercapto-3-(2-methoxy-phenyl)-7-methyl-3H-quinazolin-4-one
(250 mg, 0.84 mmol) and potassium carbonate (235 mg, 1.68 mmol) in acetone (10 mL)
and the mixture was heated at reflux for 16 hr. The reaction mixture was cooled to
room temperature and the any solid were filtered and washed with acetone. The filtrate
was concentrated to dryness
in vacuo and the crude compound was purified by column chromatography over silica gel (100-200
mesh) using 5% ethyl acetate in pet ether as eluent to afford 2-isopropylsulfanyl-3-(2-methoxy-phenyl)-7-methyl-3H-quinazolin-4-one
(170 mg, 59%) as semi solid.
Compound Examples 2 to 15
[0109] Compound Examples 2 to 15 listed above were prepared in a manner analogous to Compound
Example 1.
Table 4
| Compound Example |
NMR Data |
MS Spectrum |
| 1 |
1H NMR (400 MHz, CDCl3) δ 8.12 (d, 1H), 7.48 (t, 1H), 7.40 (s, 1H), 7.22 (t, 2H), 7.09-7.04 (m, 2H), 4.02
(sep, 1H), 3.78 (s, 3H), 2.49 (s, 3H), 1.36 (m, 6H) |
341 (M+H) |
| 2 |
1H NMR (400 MHz, CDCl3) δ 8.02 (s, 1H), 7.52-7.47 (m, 3H), 7.21 (dd, 1H), 7.10-7.05 (m, 2H), 4.03 (sep,
1H), 3.79 (s, 3H), 2.45 (s, 3H), 1.39 (d, 3H), 1.37 (d, 3H) |
341 (M+H) |
| 3 |
1H NMR (400 MHz, CDCl3) δ 7.56-7.43 (m, 3H), 7.22-7.20 (dd, 1H), 7.14-7.05 (m, 3H), 4.02 (sep, 1H), 3.81
(s, 3H), 2.81 (s, 3H), 1.37-1.34 (m, 6H) |
341 (M+H) |
| 4 |
1H NMR (400 MHz, CDCl3) δ 7.60 (t, 1H), 7.46 (t, 1H), 7.17 (m, 2H), 7.07-7.01 (m, 2H), 6.78 (d, 1H), 4.00
(sep, 1H), 3.93 (s, 3H), 3.77 (s, 3H), 1.35 (m, 6H) |
357 (M+H) |
| 5 |
1H NMR (400 MHz, CDCl3) δ 8.12 (d, 1H), 7.49 (t, 1H), 7.41 (s, 1H), 7.24-7.18 (m, 2H), 7.09-7.04 (m, 2H),
3.79 (s, 3H), 3.14 (m, 2H), 2.49 (s, 3H), 1.36 (t, 3H). |
327 (M+H). |
| 6 |
1H NMR (400 MHz, CDCl3) δ 7.52-7.46 (m, 2H), 7.41 (s, 1H), 7.21 (d, 2H), 7.09-7.04 (m, 2H), 4.00 (sep, 1H),
3.78 (s, 3H), 3.03 (s, 6H), 1.38 (d, 3H), 1.35 (d, 3H) |
370 (M+H). |
| 7 |
1H NMR (400 MHz, CDCl3) δ 8.24 (dd, 1H), 7.71 (m, 1H), 7.59 (d, 1H), 7.50 (m, 1H), 7.37 (m, 1H), 7.21 (dd,
1H), 7.11-7.06 (m, 2H), 4.04 (sep, 1H), 3.79 (s, 3H), 1.38 (d, 3H), 1.36 (d, 3H) |
327 (M+H) |
| 8 |
1H NMR (400 MHz, CDCl3) δ 8.25 (d, 1H), 7.73 (t, 1H), 7.61 (d, 1H), 7.54-7.47 (m, 2H), 7.41-7.31(m, 2H),
7.14 (d, 1H), 4.05 (sep, 1H), 2.68 (sep, 1H), 1.40-1.35 (m, 6H), 1.25 (d, 3H), 1.15
(d, 3H) |
339 (M+H) |
| 9 |
1H NMR (400 MHz, CDCl3) δ 8.23 (d, 1H), 7.73 (t, 1H), 7.61 (d, 1H), 7.51-7.33 (m, 4H), 7.16 (d, 1H), 4.05
(sep, 1H), 2.45 (q, 2H), 1.36 (d, 6H), 1.19 (t, 3H) |
325 (M+H) |
| 10 |
1H NMR (400 MHz, CDCl3) δ 7.61 (d, 1H), 7.55-7.48 (m, 2H), 7.33-7.30 (dd, 1H), 7.23-7.21 (dd, 1H), 7.11-7.06
(m, 2H), 4.01 (sep, 1H), 3.89 (s, 3H), 3.79 (s, 3H), 1.36 (m, 6H). |
357 (M+H) |
| 11 |
1H NMR (400 MHz, CDCl3) δ 8.26 (d, 1H), 7.71 (t, 1H), 7.60 (d, 1H), 7.45-7.35 (m, 2H), 7.17-7.06 (m, 3H),
4.06 (sep, 1H), 2.65 (s, 6H), 1.38 (d, 3H), 1.35 (d, 3H) |
340 (M+H) |
| 12 |
1H NMR (400 MHz, CDCl3) δ 7.60 (t, 1H), 7.47 (t, 1H), 7.20-7.17 (m, 2H), 7.08-7.02 (m, 2H), 6.79 (d, 1H),
3.94 (s, 3H), 3.78 (s, 3H), 3.15-3.11 (m, 2H), 1.33 (t, 3H) |
343 (M+H) |
| 13 |
1H NMR (400 MHz, CDCl3) δ 8.25 (d, 1H), 7.73 (t, 1H), 7.62 (d, 1H), 7.51-7.33 (m, 4H), 7.18 (d, 1H), 3.16
(m, 2H), 2.46 (q, 2H), 1.34 (t, 3H), 1.21 (t, 3H) |
311 (M+H) |
| 14 |
1H NMR (400 MHz, CDCl3) δ 7.56-7.43 (m, 3H), 7.22 (d, 1H), 7.14-7.05 (m, 3H), 3.80 (s, 3H), 3.14 (m, 2H),
2.81 (s, 3H), 1.33 (t, 3H) |
327 (M+H) |
| 15 |
1H NMR (400 MHz, CDCl3) δ 8.26 (d, 1H), 7.76-7.71 (m, 1H), 7.62 (d, 1H), 7.52-7.47 (m, 2H), 7.41-7.31 (m,
2H), 7.15 (d, 1H), 3.23-3.09 (m, 2H), 2.65 (sep, 1H), 1.33 (t, 3H), 1.25 (d, 3H),
1.15 (d, 3H) |
325 (M+H) |
Example 4: Measurement of minimum inhibitory concentrations (MICs)
[0110] The compounds of Example 3 were assessed for anti-fungal activity as follows: Between
1 and 5 mgs of compound were accurately weighed out into a sterile Eppendorf tube.
The compound was dissolved in DMSO to give a solution containing 5 mg/mL. Tubes were
stored at -20 °C until required.
[0111] On the day of testing thawed solutions were vortex mixed to ensure homogeneity. 30
µL of solution was removed and added to 570 µL of sterile water in a separate sterile
Eppendorf. The thoroughly mixed solution was used to prepare a series of doubling
dilutions in water, in a deep well plate. Thirteen replicate plates were prepared
using a Minitrak by aspirating 20 µL from each well into eleven clear polystyrene
96 well plates.
[0112] Spores of
Aspergillus spp. (
Aspergillus fumigatus [two strains],
Aspergillus terreus [two strains],
Aspergillus niger and
Aspergillus flavus) were harvested from cultures grown on Sabarauds agar for 5 days, and resuspended
in PBS/Tween 80 to approx 1x10
7 cfu/mL. Each organism suspension was diluted in YAG medium (1% glucose, 1% ammonium
chloride and 0.5% yeast extract) to 0.5-2x10
4 cfu/mL. 80 µL of an organism suspension was added to each well of the plate containing
drug dilutions.
[0113] This produced MIC plates with a drug range 50-0.05 mg/L and organism inocula of 1-2x10
4 cfu/mL for Aspergillus spp.. All plates were incubated for 24 hrs at 35 °C. Growth
was assessed by monitoring the optical density at 485 nm for each well. The MIC of
a compound is the lowest drug concentration that inhibits growth of an organism by
>70% compared with a drug free control. MICs are recorded as mg/L. In cases where
the MIC of an organism is >=0.05 mg/L the MIC is repeated using a concentration range
of 0.5 - 0.0005 mg/L.
[0114] Assays were also performed in RPMI medium. To perform MIC tests in this medium, dilutions
of compounds are prepared in microtitre plates as described above. Fungal strains
to be tested are grown and harvested in an identical manner to that described above,
and each organism suspension was diluted in RPMI medium, containing 2% glucose and
0.135 M MOPS buffer (pH 7.0) to 0.5-2x10
4 cfu/mL, rather than in YAG medium. 80 µL of an organism suspension was added to each
well of the plate containing drug dilutions.
[0115] This produced MIC plates with a drug range 50-0.05 mg/L and organism inocula of 1-2x10
4 cfu/mL. All plates were incubated for 24-48 hrs at 35 °C. Growth was assessed by
monitoring the optical density at 485 nm for each well. The MIC of a compound is the
lowest drug concentration that inhibits growth of an organism by >80% compared with
a drug free control.
[0116] The following organisms were tested:
Aspergillus flavus, Aspergillus fumigatus AF293 and AF210,
Aspergillus niger and
Aspergillus terreus AT4 and AT49.
[0117] Other fungi including
Absidia corymbifera; Acremonium spp; Alternaria alternata; Aspergillus nidulans; Aspergillus
parasiticus; Bipolaris spp; Blastomyces dermatitidis; Blumeria graminis; Candida albicans;
Candida glabrata; Candida krusei; Candida parapsilosis; Candida tropicalis; Cladosporium
cladosporoides; Cladosporium herbarium; Coccidioides immitis; Coccidioides posadasii;
Colletotrichium trifolir, Curvularia lunata; Colletotrichium trifolii; Cryptococcus
neoformans; Encephalitozoon cuniculi; Epicoccum nigrum; Epidermophyton floccosum;
Exophiala spp; Exserohilum rostratum; Fusarium graminearium; Fusarium solani; Fusarium
sporotrichoides; Histoplasma capsulatum; Leptosphaeria nodorum; Magnaporthe grisea;
Microsporum canis; Mycosphaerella graminicola; Neurospora crassa; Paecilomyces lilanicus;
Paecilomyces varioti; Penicillium chrysogenum; Phytophthora capsici; Phytophthora
infestans; Plasmopara viticola; Pneumocystis jiroveci; Puccinia coronata; Puccinia
graminis; Pyricularia oryzae; Pythium ultimum; Rhizomucor sp.;
Rhizoctonia solani; Rhizomucor spp.; Rhizopus spp.; Scedosporium apiospermum; Scedosporium
prolificans; Scopulariopsis brevicaulis; Trichophyton interdigitale; Trichophyton
mentagrophytes; Trichophyton rubrum; Trichosporon asahii; Trichosporon beigelii; and
Ustilago maydis may also be used in the above assay. Fungi are cultured by standard methods known
to those skilled in the art, and MICs determined as above.
MIC results in mg/L (YAG medium):
[0118] The following MIC results have been banded into grades. Thus, a grade of 1 represents
an MIC of greater than 10 mg/L. A grade of 2 represents an MIC of from 1 to 10 mg/L.
A grade of 3 represents an MIC of less than 1 mg/L.

MIC results in mg/L (RPMI medium):
[0119] The following MIC results have been banded into grades as defined above.

Example 5: Physical properties of preferred inhibitors with high activity
[0120] High activity inhibitors had the following properties:
IC 50 (concentration of inhibitor that inhibits enzyme activity by 50%) of 10 nM to
100 nM (and often 20 nM to 100 nM),
Ki of 20nM to 60 nm,
binding to DHODH which is reversible and competitive with coenzyme Q cosubstrate (indicating
binding of the inhibitor within the quinone pocket of DHODH).
[0121] For the DHODH enzyme of A. fumigatus, the following regions contribute to the quinone
pocket environment:
Valine 87 to glutamic acid 135
Valine 144 to leucine 218
Asparagine 487 to arginine 530.
[0122] For the DHODH enzyme of C. albicans, the following regions contribute to the quinone
pocket environment:
Tyrosine 52 to leucine 95
Valine 106 to serine 180
Asparagine 388 to glutamic acid 431.
SEQUENCE LISTING
[0123]
SEQ ID No1.
Aspergillus fumigatus DHODH

SEQ ID No. 2
Candida albicans DHODH

SEQ ID No. 3
GACGACGACAAGATGGCGACGGATACCAGGGCAAG
SEQ ID No. 4
GAGGAGAAGCCCGGTCTATTGACGGTTTTTCTTTTCC
SEQ ID No. 5:
GACGACGACAAGATGGCCACGGGAGATGAGCG
SEQ ID No. 6:
GAGGAGAAGCCCGGTTCACCTCCGATGATCTGCTC
SEQ ID No. 7:
GACGACGACAAGATGACGGCCACAGGGGATGAC
SEQ ID No. 8:
GAGGAGAAGCCCGGTTCACCTCCGATGATCTGCTC
SEQ ID No. 9:
GACGACGACAAGATGTCAAGATCAGCAATCCATGA
SEQ ID No. 10:
GAGGAGAAGCCCGGTTCACTTATCATCAGAGCCAA
SEQ ID No. 11:
